Organization
COMMUNITY LIVING ALTERNATIVES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA L RICHARDSON (PRESIDENT)
(504) 471-0086
Entity
Organization
Contact information
Practice address
1207 CANAL BLVD, THIBODAUX, LA 70301-4510
(985) 448-1129
Mailing address
2200 VETERANS MEMORIAL BLVD, SUITE 205, KENNER, LA 70062-4001
(504) 471-0086
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
6347
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649520
—
LA
Enumeration date
12/17/2007
Last updated
12/17/2007
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